 Family history of suicide  Feelings of hopelessness, verbalization of suicide, presence of a suicide note, or preparation of a will  Availability of means for suicide • How to make a referral for mental health treatment - Part of helping individual members and their families within the congregation is communicating clearly the reasons for makinga referral:  Work collaboratively with the person involved, together with their loved ones and the faith community they are currently affiliated with on how to best approach the situation. This harnesses a sense of support coming from the faith community.  Explain the difference between a spiritual crisis and a mental health crisis, which is an important facet of the referral. There’s a need to distinguish between who needs spiritual counseling and guidance from the faith leader and who warrants attention of a mental health professional.  Explain to the individual and their loved ones the level of distress and disability, impairment in functioning, and possibility of danger as part of the criteria for making a referral to a mental health professional. - It is important to provide reassurance that the congregation will be together with them as they try to make sense of everything and will provide the necessary assistance if needed. Training Module on the Right to Mental Health for Faith-Based Organizations  Presence of psychiatric problems such as anxiety, depression, and psychosis - It is important to have a list of professional organizations, support groups, and mental health advocacy groups where the congregation can link with the person and their families. Having an established connection between these groups could also help in facilitating the referral. - It is important to maintain constant communication with the person and their family. Providing spiritual guidance and encouragement could give a sense of community and provide the needed emotional support. Faith communities are in the best position to help their individual members be re-integrated back into society. Dealing with Resistance in Accepting Mental Health Treatment • Resistance to treatment stems from so many factors such as religious and spiritual beliefs, cultural beliefs, and acceptance within the community. Moreover, it could also mean that the individual has a hard time acknowledging that there is or are problem/s affecting their current mental state. 20